Provider Demographics
NPI:1629447933
Name:USA CHIROPRACTOR & REHAB, INC.
Entity Type:Organization
Organization Name:USA CHIROPRACTOR & REHAB, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:NEIL
Authorized Official - Middle Name:
Authorized Official - Last Name:GILWIT
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:954-584-2488
Mailing Address - Street 1:1120 SUNSET STRIP
Mailing Address - Street 2:
Mailing Address - City:SUNRISE
Mailing Address - State:FL
Mailing Address - Zip Code:33313-6108
Mailing Address - Country:US
Mailing Address - Phone:954-584-2488
Mailing Address - Fax:954-584-5257
Practice Address - Street 1:1120 SUNSET STRIP
Practice Address - Street 2:
Practice Address - City:SUNRISE
Practice Address - State:FL
Practice Address - Zip Code:33313-6108
Practice Address - Country:US
Practice Address - Phone:954-584-2488
Practice Address - Fax:954-584-5257
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-16
Last Update Date:2015-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty